Individual
ANNA CATHERINE MALLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
415 E 4TH ST, CHARLOTTE, NC 28202-2405
(980) 402-7526
Mailing address
331 EAST BLVD APT 2, CHARLOTTE, NC 28203-4813
(407) 670-9374
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P013820
NC
Other
Enumeration date
10/17/2019
Last updated
10/22/2019
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